Government: Page 124
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Many docs support MIPS concepts, but a big chunk unaware
Nearly two-thirds of physicians surveyed reported little or no knowledge of the CMS Merit-based Incentive Payment System.
By Meg Bryant • July 12, 2018 -
ACA plan member costs increasing, networks narrowing, study says
Avalere, which conducted the report for the Physicians for Fair Coverage, said restricted networks are resulting in more out-of-network care and surprise billing.
By Les Masterson • July 12, 2018 -
EHRs combined with nurse-led support improved medication compliance
A JAMA study showed the potential and limitations of nurse educators and EHRs.
By Les Masterson • July 11, 2018 -
CMS cuts ACA navigator funding down to $10M
This is not the first funding cut for navigators, who received $62.5 million in 2016. CMS Administrator Seema Verma said the "need for federally funded Navigators has diminished."
By Tony Abraham • July 11, 2018 -
CMS will let providers withdraw retroactively from BPCI-A
The agency is not, however, delaying the program's Oct. 1 start date.
By Les Masterson • July 11, 2018 -
MA star ratings would change if socioeconomic status taken into account, study finds
The report in Health Affairs evaluated how scoring changes connected to blood pressure, diabetes and cholesterol control could improve plan ratings.
By Les Masterson • July 11, 2018 -
Gottlieb: FDA seeking 'right balance' in regulating opioid prescriptions
"The roots of this crisis are embedded in the practice of medicine, and prescribing practices that were at times too cavalier," Gottlieb said.
By Rebecca Pifer Parduhn • July 10, 2018 -
Low-quality healthcare persists in high-income countries, report finds
The study found that 10% of patients in high-income countries are harmed during medical treatment and 15% of hospital expenditures in those countries come from mistakes or hospital-acquired infections.
By Les Masterson • July 10, 2018 -
CMS defends hospital star-rating program, plans only minor changes
An agency spokesperson told Healthcare Dive it will get expert feedback on methodology over the summer.
By Les Masterson • July 10, 2018 -
EHR error rates vary widely across systems, JAMIA study finds
A confluence of challenges among the hospitals' Epic and Cerner systems likely contributed to high error rates.
By Rebecca Pifer Parduhn • July 9, 2018 -
Azar says 'change is coming' for 340B
The HHS secretary emphasized at an industry conference the "need to disrupt the entire system of rebates" as well as the administration's intentions to reduce the gap between drug discounts and reimbursements.
By Tony Abraham • July 9, 2018 -
Trump administration suspends ACA risk-adjusted payments
The freeze impacts $10.4 billion for 2017. Without the program to stabilize the marketplace, premiums are expected to rise.
By Tony Abraham • July 9, 2018 -
States looking to courts in fight against ACA
Twenty states are arguing the ACA's mandate that most people have health insurance is unconstitutional because the penalty for noncompliance will be zeroed out starting next year.
By Les Masterson • July 9, 2018 -
Physician burnout less common at small, independent practices
A study by the NYU School of Medicine found that only 13.5% of New York City physicians in small, independent primary care practices reported feeling worn out or wearied by their work.
By Les Masterson • July 9, 2018 -
Mercy joins forces with Johnson & Johnson for medical device safety
The FDA is pressing medical device companies to include more real-world data in technology assessments.
By Meg Bryant • July 6, 2018 -
FDA pledges 'efficient regulation' of mobile health apps
The agency hopes to launch its software precertification program next year.
By Meg Bryant • July 5, 2018 -
Los Angeles psychiatric facility settles patient dumping case
Silver Lake Medical Center will create new policies for discharging homeless patients and give $550,000 to fund a new Homeless Patient Assistance Program.
By Les Masterson • July 5, 2018 -
Intermountain funds $12M collaborative SDOH effort
The Utah Alliance for the Determinants of Health is working with SelectHealth Medicaid members in Ogden and St. George.
By Les Masterson • July 5, 2018 -
Deep Dive
The boons of — and barriers to — behavioral health integration
An increasing number of clinics are trying a collaborative care model, but reimbursement, structural and historical barriers remain an obstacle.
By Les Masterson • July 5, 2018 -
CMS proposes home health pay changes, including remote monitoring
The agency estimates the changes will save home health agencies $60 million in annualized costs beginning in 2020.
By Rebecca Pifer Parduhn • July 3, 2018 -
CMS: Unsubsidized ACA enrollment dropped 20% in 2017
The agency used new data to make their case that federal and state-based exchanges and state individual health insurance markets are in turmoil.
By David Lim • July 3, 2018 -
Kentucky to cut dental, vision for up to 460K Medicaid recipients
The state blamed a federal judge's rejection of their proposal to tie benefit eligibility to work requirements.
By Tony Abraham • July 3, 2018 -
Drug, device companies gave docs, teaching hospitals $8.4B in 2017
The amount includes $2.82 billion for non-research payments, such as meals, fees and travel to speaking events.
By Les Masterson • July 3, 2018 -
CMS pitches MA demo letting doctors avoid MIPS rules
Administrator Seema Verma said the pilot looks to "put Medicare Advantage on a more equal playing field with fee-for-service Medicare.”
By Les Masterson • July 2, 2018 -
Deep Dive
Return of the house call
Big systems like Johns Hopkins and CMS itself are increasingly looking to home-based care.
By Les Masterson • July 2, 2018
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